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Assessment of Quality Management Practices Within the Healthcare Industry

Author

Listed:
  • William J. Miller
  • Andrew T. Sumner
  • Richard H. Deane

Abstract

Problem Statement: Considerable effort has been devoted over the years by many organizations to adopt quality management practices, but few studies have assessed critical factors that affect quality practices in healthcare organizations. The problem addressed in this study was to assess the critical factors influencing the quality management practices in a single important industry (i.e., healthcare). Approach: A survey instrument was adapted from business quality literature and was sent to all hospitals in a large US Southeastern state. Valid responses were received from 147 of 189 hospitals yielding a 75.6% response rate. Factor analysis using principal component analysis with an orthogonal rotation was performed to assess 58 survey items designed to measure ten dimensions of hospital quality management practices. Results: Eight factors were shown to have a statistically significant effect on quality management practices and were classified into two groups: (1) four strategic factors (role of management leadership, role of the physician, customer focus, training resources investment) and (2) four operational factors (role of quality department, quality data/reporting, process management/training and employee relations). The results of this study showed that a valid and reliable instrument was developed and used to assess quality management practices in hospitals throughout a large US state. Conclusion : The implications of this study provided an understanding that management of quality required both a focus on longer-term strategic leadership, as well as day-to-day operational management. It was recommended that healthcare researchers and practitioners focus on the critical factors identified and employ this survey instrument to manage and better understand the nature of hospital quality management practices across wider geographical regions and over longer time periods. Furthermore, this study extended the scope of existing quality management literature to the healthcare industry throughout an entire state and contributed to theory about the nature of quality management practices.

Suggested Citation

  • William J. Miller & Andrew T. Sumner & Richard H. Deane, 2009. "Assessment of Quality Management Practices Within the Healthcare Industry," American Journal of Economics and Business Administration, Science Publications, vol. 1(2), pages 105-113, June.
  • Handle: RePEc:abk:jajeba:ajebasp.2009.105.113
    DOI: 10.3844/ajebasp.2009.105.113
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    Cited by:

    1. Fereshteh Farzianpour & Sara Aghababa & Bahram Delgoshaei & Marjan Haghgoo, 2011. "Performance Evaluation a Teaching Hospital Affiliated to Tehran University of Medical Sciences Based on Baldrige Excellence Model," American Journal of Economics and Business Administration, Science Publications, vol. 3(2), pages 277-281, April.
    2. Fereshteh Farzianpour & Hossein Dargahi & Shadi Hosseini & Seyead Shahab Hosseini & Shayan, 2011. "Program Evaluation of Health Care Management: Is it adjusted for Students Needs?," American Journal of Economics and Business Administration, Science Publications, vol. 3(2), pages 420-424, July.
    3. Ronald Ebenezer Essel, 2020. "Assessing Total Quality Management (TQM) Effect on Hospital Performance in Ghana Using a Non-Probabilistic Approach: The Case of Greater Accra Regional Hospital (GARH)," Metamorphosis: A Journal of Management Research, , vol. 19(1), pages 29-41, June.
    4. Manjeet Kharub & Rajiv Kumar Sharma, 2016. "Investigating the role of CSF’s for successful implementation of quality management practices in MSMEs," International Journal of System Assurance Engineering and Management, Springer;The Society for Reliability, Engineering Quality and Operations Management (SREQOM),India, and Division of Operation and Maintenance, Lulea University of Technology, Sweden, vol. 7(1), pages 247-273, December.

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